18 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... leads with STE in avR ... inversion - STE avR ... #EKG #diagnosis ... Interpretation #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
ST elevation in aVR ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis ... #differential #
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
amniotic fluid, air ... Signs: hypotension ... plasmaphoresis Box D: AIR ... Discontinue source of air ... attempt to aspirate air
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
pneumothorax or air ... (loculated air) ... abdominal viscus #cxr ... chestxray #trauma #diagnosis ... #signs #radiology
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Rapid Response Management ... Crackles / ↓ Air ... pulmonary edema • Air ... Hypoxemia #Hypoxia #differential ... #Diagnosis #Management
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... abutting the pleura, air-bronchograms ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest #
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
hyperthermia crisis (late sign ... amphetamines) Toxic: • Radiologic ... #Hyperthermia #Differential ... #Checklist #Diagnosis ... #Management #Workup
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... STE: "Pardee's sign ... depression in aVR ... depression in aVR ... #diagnosis #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... symptoms may include chest ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
effusion fluid or air ... indicated, start CPR ... examination and vital signs ... Anesthesiology #Anesthesia ... #Management #Workup